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العنوان
Surgical Management of Spontaneous Dorsolumbar Spondylodiscitis /
المؤلف
Ali, Abd El-Rahman Ibrahim,
هيئة الاعداد
باحث / عبدالرحمن إبراهيم على
مشرف / مدحت ممتاز الصاوي
مشرف / احمد محمد معوض
مشرف / وليد زيدان نعنوس
الموضوع
Neurosurgery. Nervous system - Surgery.
تاريخ النشر
2022.
عدد الصفحات
115 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة المنيا - كلية الطب - جراحة المخ والأعصاب
الفهرس
Only 14 pages are availabe for public view

from 116

from 116

Abstract

Spinal discitis is a fascinating disease that affects the discs, vertebrae, and adjacent tissues. Unlimited spinal discitis treats about 3-5% of all cases of bone marrow inflammation. The overall rate is estimated to be 4 to 24 cases per 1 million prisoners annually. Most patients with
discitis present with low back pain, often with a significant delay in diagnosis. Progressive bone and plate obstruction due to delayed, constant illness can result in significant spinal deformities in a subset of patients, resulting in loss of personal satisfaction.
Analysis related to spinal discitis depends on clinical symptoms (pain, fever, and deterioration of appearance), but is inadequate in some cases. Laboratory analysis is primarily performed on a mixture of high erythrocyte sedimentation rate (ESR), undeniable levels of receptive protein (CRP), and low-value leukocytosis.
Simple x-rays may be useful. Still, Xbeams cannot see the very harmful spinal discitis because it can take some time for the changes to appear.
X-rays with gadolinium upgrades are considered the ideal decision for imaging discitis of the spine due to their high controllability and clarity, especially their physical data. CTfilter also provides meaningful data on bone occlusion. This is especially useful for careful dissection.
clinical administration is the best option for destroying pollution, restoring and protecting the design and capacity of the spine, and reducing distress. In addition, associative clinical therapy is fundamentally important when medical procedures are demonstrated.
Radiologically directed procedures and careful antibiotics have significantly improved the darkness and mortality of spinal discitis in recent years. The
review is designed to evaluate the results of characteristic careful dosing decisions and unconstrained dorsal lumbar discitis.
This is a review study conducted on 30 cases of unlimited dorsal lumbar discitis transferred to the Minia College Emergency Clinic after moderate treatment failure. The basic results of the
review are:
This review consisted of 30 patients. The average age was 43.47 ± 17.16 years. The rating included 14 men and 16 females. There were 16 cases of
MRI lumbar discitis in 53.3%, 11 cases of MRI dorsal discitis in 36.7%, and 3 cases of MRI dorsolumbar discitis in 10.0%. There were 29 (96.7%) posterior attachments from
laminectomy and 1 (3.3%) ants. For corpectomy with Pyralattice and Plate
, the normal grade of Qual score after postoperative administration was 1.43. This is because they were divided into three levels: 19 patients with 63.3% at level I and 9 patients with 30 and 0% at level II. Two patients with level III of 6.7%, one patient with a clinical rating of 3.3% after B, 5 patients with a clinical rating of 16.7% after D, and 80.0% after E. There were 24 patients who showed a clinical evaluation. There are 6 people in
. Patients with complications at a rate of 20.0%, isolated in one patient at a rate of 16.7%, and adversely affected by recurrence of contamination by venous drainage. There was a deeply measurable difference between before and after the
quality assessment and the clinical assessment of management.
Given our results, we recommend additional tests and longer follow-up periods in larger patients to support our decision.